NPI 1124066261

Northlake Multispecialty Associates LLC

Organisation Family Medicine Physician Tucker, GA

Practice location

Address: 1459 Montreal Rd Suite 304, Tucker, GA 30084-6900
Phone: (770) 908-4444
Fax: (770) 908-4400

Authorised official

Name: Chuck Locke
Title: Vp
Phone: (615) 373-7604

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Registry record

NPI: 1124066261
Entity type: Organization
NPI issued: 2 Jun 2006
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.